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Certificate of Live Birth and for items 29D and 32B through 35 on the Certificate of Fetal Death. ... 35 Intrauterine growth restricted birth this pregnancy.
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What is medical data supplemental worksheet?
The medical data supplemental worksheet is a form used to provide additional medical information that was not included in the primary medical records.
Who is required to file medical data supplemental worksheet?
Healthcare providers or insurers may be required to file the medical data supplemental worksheet if additional information is needed for a particular case.
How to fill out medical data supplemental worksheet?
The medical data supplemental worksheet should be completed with accurate and detailed medical information related to the specific case or individual.
What is the purpose of medical data supplemental worksheet?
The purpose of the medical data supplemental worksheet is to ensure that all relevant medical information is available for analysis or decision-making.
What information must be reported on medical data supplemental worksheet?
The medical data supplemental worksheet should include details such as medical history, current medications, allergies, and any other relevant medical data.
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